Hiccups: Difference between revisions
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==Background== | ==Background== | ||
*Usually initiated by gastric distention from food, carbonated beverage, or air | |||
==Workup== | ==Workup== | ||
*Auditory canal exam (foreign body against TM can trigger hiccups) | |||
*CXR | |||
==Treatment == | ==Treatment == | ||
# | #Physical Maneuvers (stimulating pharynx blocks the vagal portion of the reflex arc) | ||
# | ##Remove foreign body from ear | ||
# | ##Swallow teaspoon of sugar | ||
# | ##Sip ice water | ||
##Drink water quickly | |||
#Meds | |||
##Chlorpromazine 25–50mg IV; 25–50mg PO TID | |||
##Metoclopramide 10mg IV or IM; 10–20mg PO TID x 10d | |||
==Source== | |||
Tintinalli | |||
[[Category:GI]] | [[Category:GI]] | ||
Revision as of 09:43, 22 July 2011
Background
- Usually initiated by gastric distention from food, carbonated beverage, or air
Workup
- Auditory canal exam (foreign body against TM can trigger hiccups)
- CXR
Treatment
- Physical Maneuvers (stimulating pharynx blocks the vagal portion of the reflex arc)
- Remove foreign body from ear
- Swallow teaspoon of sugar
- Sip ice water
- Drink water quickly
- Meds
- Chlorpromazine 25–50mg IV; 25–50mg PO TID
- Metoclopramide 10mg IV or IM; 10–20mg PO TID x 10d
Source
Tintinalli